Provider Demographics
NPI:1487909610
Name:POPATIA, SHAHEEN SIRAJ (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAHEEN
Middle Name:SIRAJ
Last Name:POPATIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 SPRING LKS
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3962
Mailing Address - Country:US
Mailing Address - Phone:832-830-5807
Mailing Address - Fax:
Practice Address - Street 1:2839 SPRING LKS
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3962
Practice Address - Country:US
Practice Address - Phone:832-830-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice